Product Manager, Medicaid Claims Transformation

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Oversee the product strategy for domains related to Medicaid claims.

• Convert the needs of members, providers, benefits, clinical, and finance into product outcomes and domain roadmaps.

• Influence the transformation of core adjudication capabilities and identify platform opportunities along with investment priorities.

• Cultivate a comprehensive understanding of Medicaid operations, claims workflows, regulatory and policy contexts, client challenges, market dynamics, and ecosystem changes.

• Employ product discovery, customer research, workflow analysis, data, and experimentation to confirm problems and prioritize opportunities.

• Collaborate with engineering, architecture, design, operations, implementation, sales, and teams that engage with clients.

• Frame decisions regarding domain and platform, assess tradeoffs, and deliver recommendations based on product economics and business impact.

• Develop and promote product narratives for executives, delivery teams, and stakeholders.

• Establish success metrics and assess adoption, operational impact, user experience, and product performance.

• Discover product opportunities within Medicaid claims and related domains through modernization, workflow redesign, automation, data, and interoperability.

• Mentor and influence product managers and cross-functional partners.

⛳️ Requirements

• 12+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis.

• Demonstrated ability to drive product strategy, foster innovation, and achieve business results.

• Extensive expertise in Product Systems Design, Customization Strategies, and the Integration of Software and Technology Solutions.

• Strong comprehension of Technology Architecture, Mainframe Environments, Scheduling Software, and Related Enterprise Technologies.

• Proven experience in translating business, technical, and data requirements into scalable product solutions.

• Familiarity with software development tools, methodologies, and best practices.

• Proficiencies in Product Development Methodologies, Strategic Planning, Analytical Problem Solving, Decision Making, and Prioritizing Initiatives in Complex Environments.

• Experience with AI Product use cases, solution design, and artificial intelligence technologies is preferred.

• Openness to work a flexible schedule to meet business needs and travel as required.

• Video cameras are required to be on during all interviews and the first week of orientation.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for learning and career advancement.

• Access to technical credentials and certifications.

• A generous and flexible vacation policy.

• Educational assistance to support further learning.

• Leadership and technical development academies.

• 401(k) employer matching contributions.

• Comprehensive health benefits package.

• Opportunities for travel as part of your work (0-10%).